Mortgage Inquiry Form - Welcome Credit Union

Form Completed By

Borrower *

Co-Borrower *

Borrower Name *

First

Middle

Last

Co-Borrower Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Best time to contact:

Morning
Afternoon
Evening

Borrower Information

Borrower Marital Status

Married
Unmarried

(Unmarried includes single, separated, divorced, widowed)

Borrower Birthdate

Borrower Employer

Borrower How Long

Borrower Annual Salary

Borrower Ethnicity

Hispanic or Latino
Not Hispanic or Latino
I do not wish to provide this information

Hispanic or Latino

Mexican
Puerto Rican
Cuban
Other

Other - Enter Origin

Race

Name of enrolled or principal tribe

Asian

Asian - Other:

Native Hawaiian or other Pacific Islander

Native Hawaiian
Samoan
Guamanian or Chamorro
Other

Native Hawaiian/Pacific Islander Other:

Sex

Male
Female
I do not wish to provide this information

Co-Borrower Information

Co-Borrower Marital Status

Married
Unmarried

(Unmarried includes single, separated, divorced, widowed)

Co-Borrower Birthdate

Co-Borrower Employer

Co-Borrower How Long

Co-Borrower Annual Salary

Co-Borrower Ethnicity

Hispanic or Latino
Not Hispanic or Latino
I do not wish to provide this information

Hispanic or Latino:

Mexican
Puerto Rican
Cuban
Other

Other - Enter Origin

Race

Name of enrolled or principal tribe

Asian

Asian - Other:

Native Hawaiian or other Pacific Islander

Native Hawaiian
Samoan
Guamanian or Chamorro
Other

Native Hawaiian/Pacific Islander Other:

Sex

Male
Female
I do not wish to provide this information

Purpose of Loan and Value of Property

Purpose of Loan

Purchase
Refinance

Refinance Reason

Lower Rate/Term
Home Improvement
Consolidate Debt
Cash-Out

Approximate Value of Property